Please fill out all fields of the form, deleting the question marks (?).
| Full Name:
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Please Check Area(s) In Which You Are Volunteering:
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Foster
Transport
Shelter Rescuer
Computer
Public Relations
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| Please Describe Volunteer Skills/Interests, Such as Miles
Willing to Drive, Etc.:
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Full Street Address, City, State, and Zip Code:
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Telephone Numbers: Home:
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Work:
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Cell:
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Your Email Address:
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Please List the Other Adults in Your Home, Their Relationship to You, & Their Names:
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Number of Children Living in the House:
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Please List Ages of Children and Whether They Are Boys or Girls:
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Do the Children Live with You Full-Time:
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Do Other Children Visit? If So, What Are Their Ages and How Often Do They Visit:
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Your Birth Date:
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Does Anyone in Your Family Have Allergies to Animals, and If So, What Kind:
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Does Anyone in Your Household Smoke:
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No
Yes
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Please Describe Household Setting: Suburban? Urban? Rural?
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suburban
urban
rural
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What Type of Home Do You Live In?
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House
Apt
Town-house
Condo
Mobile_Home
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Do You Own or Rent Your Home (If You Rent, You MUST Provide Proof of Permission to
Have a Dog on the Premises)
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Own
Rent
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Landlord Name and Phone Number:
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If You Have a Yard, is it Fenced? If So, What Type, Material, and Height?
If Not Fenced, How Would You Keep the Pet in Your Yard:
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If You Have a Fenced Yard, Please Describe Number of Gates and Size of Yard.
Are the Gates Always Securely Latched and/or Locked?
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If the Dog is Outside Other than for Supervised Activities, Describe What Shelter
Would Be Available for It:
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Covered Area
Shade Trees
shed
Dog-house
Other
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If Outside Shelter = Other, Please explain:
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Please Describe Your Home's Activity Level:
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busy-active-noisy
moderately-busy
quiet
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Are You Prepared to Provide the Extensive Socialization That is Needed to Ensure a
Well-Rounded Dog For Adoption/Placement? Is There Any of These Experiences
to Which You Will NOT Be Able to Expose a Foster Dog:
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Other Dogs
Other People
Children
Riding_In_A_Car
House-Breaking
Grooming
Nail_Clipping
Obedience-Training
Crate-Training
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Are You Prepared to Deal With Behavior Problems Such as Food Aggression, House-Soiling,
Biting, Jumping Up, Etc.:
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Are You Familiar With Crate Training? Do You Have a Crate? If Not, Can You Get One:
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Approx. How Many Hours Each Day Would The Dog Be Left Alone and Where:
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Fostered Small Dogs Are To Be Kept Primarily In-Doors. Is That a Problem For You:
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No
Yes
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Is There a Limit On the Length of Time You Can Keep the Dog Until It is Adopted? If So,
Please Explain Why and For How Long:
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Do You Understand That if You Foster, You CANNOT Permanently Adopt the Dog
Without Submitting an Adoption Application, Receiving Approval, and Paying
an Adoption Fee:
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Yes,
I understand.
No, I do not understand.
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Is It OK With You
If Potential Adopters Come to Your Home to Look at the Dog
(Please type in yes or no):
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Why Do You Want to Foster a Dog:
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Do You Have Any Limitations On the Kind of Dog You Can Foster (e.g. Only Females, Only Older):
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Are You Able to Provide the Stable Environment, Food and Care the Average Rescue Dog Needs:
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Yes
No
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Would You Be Willing to Stay In Contact With the Adoptive Home to Ensure That
the Placement Was a Success, Including Follow-Up Visits and/or Phone Calls (Type in
Yes or No):
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Yes or No
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Please List All Animals That You Presently Own (Other Than Fish, Rodents, and Reptiles)
Breed, When Owned, Age, Gender, If Neutered, Vaccinations Up-To-Date, on Heartworm-Preventive, Medical Conditions, Etc.:
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If Any of Your Pets Are NOT Neutered or Spayed, Please Explain Why Not:
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If You Already Have Dogs, Would You Consider Them Aggressive or Submissive to Other Dogs:
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Your Vet, Clinic Name, City, and Phone No. so We May Verify How Well Your Pets Were Cared For:
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Your First Character Reference (Prefer a Neighbor) Name and Phone No.:
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Your 2nd Character Reference (Not a Relative) Name and Phone No.:
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Thank you for filling out this volunteer/foster form. Although it may seem rather
involved, one must realize that fostering a rescue dog is a very special commitment
and a vital part of rescue. Often some of these dogs have never known love or kindness.
Fostering allows them to learn to trust and live indoors in a family environment, which
will help to insure a lifetime placement in the future. You are literally saving a
dog's life. Upon receipt of your application, someone will be in touch
with you to setup a visit to your home and go over the volunteering/fostering details.
Please click SUBMIT now. It will email your application to us, then return you to our home page. -->
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